CVS PHARMACY#04188
NPI 1639345374
Pharmacy in Wellington, FL

Active since May 02, 2008CLIA 10D2227493 · Waiver
800 S STATE ROAD 7, WELLINGTON, FL 33414(561) 791-2149 Get Directions Write a Review

NPPES record last updated: November 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cvs Pharmacy#04188 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CVS PHARMACY#04188 (NPI 1639345374) is a healthcare organization registered as a pharmacy in Wellington, Florida and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through June 13, 2027 and lists Susan Colbert, Director Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1639345374
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameHOLIDAY CVS LLC
Location Address800 S STATE ROAD 7Wellington, FL 33414-6264
Mailing Address1 Cvs Dr, Box 1075-pharmacy EnrollmentsWoonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108
Organization SubpartNo
Authorized OfficialSusan ColbertDirector Payer Relations · (401) 770-2751
Enumeration DateMay 2, 2008
Last NPPES UpdateNovember 20, 2015
NPI 1639345374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
800 S STATE ROAD 7, Wellington, FL 33414

Other Names 1

Doing Business AsCvs Pharmacy#04188

Other Identifiers 5

Other1034658Ncpdp
Other000085701FL · Dme
Medicare PINBC034A
Medicaid000085700FL
Medicare NSC5140820635

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2227493

Holiday CVS, LLC Dba Cvs/ Pharmacy #4188 · Wellington, FL
Active · expires Jun 13, 2027
CLIA Number10D2227493
Laboratory TypePharmacy
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorJessica Askinazi
Laboratory Phone(561) 791-2149
Laboratory LocationHoliday CVS, LLC Dba Cvs/ Pharmacy #4188800 South State Rd 7, Wellington, FL 33414
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
146 services144 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
127 services127 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
11 services11 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
800 S STATE ROAD 7
WELLINGTON, FL 33414
Pharmacist
800 S STATE ROAD 7
WELLINGTON, FL 33414
Pharmacy Technician
800 S STATE ROAD 7
WELLINGTON, FL 33414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holiday CVS LLC's NPI number?

The NPI number for Holiday CVS LLC is 1639345374. It was assigned to this organization in the NPPES registry on May 2, 2008. The provider is doing business as CVS Pharmacy#04188.

Where is Holiday CVS LLC located?

Holiday CVS LLC is located at 800 S State Road 7, Wellington, FL 33414. The listed phone number is (561) 791-2149.

What is Holiday CVS LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Holiday CVS LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2227493) is associated with this NPI, valid through June 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Holiday CVS LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 34 other insurers list Holiday CVS LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holiday CVS LLC was last updated on November 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.